Solo
4.9%
of net collections
1 provider, single location
- Coding and claim submission
- Payment posting
- Denial rework and appeals
- AR follow-up
- Patient statements
- Monthly reporting
Pricing
Medical billing pricing for Nevada practices
4–5% of net collections, everything in full-cycle billing included. No setup fees, no long-term lock-in, 60-day exit. We only grow when you do.
Estimate your monthly fee
No email needed. Your plan is picked from your provider count.
Group plan · 4.5%
$3,600 / month
$43,200 per year
Typical in-house cost*$5,000 / month
Estimate only; your rate is confirmed in writing after a free audit. *In-house assumes one biller per 4 providers at $48,000 salary plus 25% benefits, PM software and clearinghouse fees.
No setup feeNo long-term contract, 60-day exitNo per-claim or clearinghouse feesBAA signed before day oneNo setup feeNo long-term contract, 60-day exitNo per-claim or clearinghouse feesBAA signed before day one
Since 2014
Billing for Nevada practices
BAA first
Signed before we see any PHI
Las Vegas office
Nevada payers, Nevada team
Percentage of what
we actually collect.
One rate per plan, charged only on net collections. Pick the plan that matches your practice today, and move up as you add providers.
Group
4.5%
of net collections
2–10 providers, multi-site
- Everything in Solo
- Eligibility verification
- Prior authorization
- Named RCM lead and monthly call
- Provider-level benchmarking
- Underpayment tracking
Enterprise
Custom
volume-based, from 4.0%
10+ providers, facilities or MSOs
- Everything in Group
- Credentialing and enrollment
- Payer contract analysis
- Quarterly compliance audit
- Facility (UB-04) and behavioral health billing
- Dedicated billing team
What your percentage
covers
Full-cycle billing, worked inside the EHR you already use. No line-item surprises on your invoice.
Charge entry and claim scrubbing
Electronic claim submission
CPT, ICD-10 and HCPCS coding review
ERA and EOB payment posting
Denial management and appeals
AR follow-up to resolution
Patient statements and billing calls
Monthly KPI and denial-trend reports
Nevada Medicaid, Medicare and commercial payers
How your fee
is worked out
Multiply your monthly net collections by your plan rate. Net collections are the payments that actually reach your practice, after refunds and payer takebacks.
Example
A 3-provider family practice in Henderson collects $80,000 a month. On the Group plan at 4.5%, its fee is $3,600 a month, or $43,200 a year, with coding, eligibility, prior authorization, denials and AR included.
Example monthly fees
| Monthly net collections | Solo at 4.9% | Group at 4.5% |
|---|---|---|
| $25,000 | $1,225 | $1,125 |
| $50,000 | $2,450 | $2,250 |
| $100,000 | $4,900 | $4,500 |
| $200,000 | — | $9,000 |
Outsourced billing vs.
an in-house biller
| What you pay for | In-house biller | Nevada Med Billing |
|---|---|---|
| Staff | Salary, benefits, payroll tax, training | A full billing team, included |
| Software and clearinghouse | Monthly licenses and per-claim fees | Included |
| Coding expertise | Extra hire or outside audit | Certified coders, included |
| Time off and turnover | Claims stall when your biller is out | Coverage every working day |
| When you pay | Every month, whatever you collect | Only on what is collected |
How medical billing is usually priced
We price on net collections because it ties our fee to your revenue. Here is how the common models compare.
| Model | How it works | What to watch |
|---|---|---|
| % of net collections | A share of what is actually paid | Check what the percentage includes |
| % of charges | A share of what you bill | You pay on claims that are never collected |
| Per claim | A fixed fee per claim sent | Resubmitted claims can be charged again |
| Hourly or staffing | You pay for billers' time | No link between cost and results |
What sets
your exact rate
Provider count and volume
More providers and claims lower your percentage.
Specialty
Behavioral health, facility and surgical billing take more work per claim.
Payer mix
Medicaid managed care, workers' comp and PI liens add follow-up.
Old AR
A large aged backlog is quoted as a separate recovery project.
Services priced separately
| Service | Price |
|---|---|
| Credentialing and enrollment | Included in Enterprise; per provider, per payer on other plans |
| Old AR recovery | Contingency: a share of what we recover, nothing if we don't |
| Coding or billing audit | First audit free; repeat audits flat fee |
| Virtual medical assistant | Monthly, per assistant |
Every add-on is quoted in writing before work starts.
Service levels written
into your agreement
If we miss them two months in a row, you can leave without the 60-day notice.
24 hours
Claims submitted after we receive documentation
95%+
Clean claim rate target on first submission
5 business days
Every denial worked, corrected or appealed
48 hours
Payments posted after the ERA or EOB arrives
Under 15%
Share of AR over 90 days, after onboarding
Same business day
Reply from your account manager
What happens after
you contact us
1
Step 1
Free billing audit
We sign a BAA, then review your recent claims, denials and AR aging.
2
Step 2
Written rate and findings
Within 5 business days you get a report and your exact rate in writing.
3
Step 3
Onboarding in 2–3 weeks
We connect to your EHR and payers, with no disruption to your claims.
Pricing questions,
answered
Between 4% and 5% of monthly net collections: 4.9% for solo practices, 4.5% for groups of 2–10 providers, and volume pricing from 4.0% for larger groups and facilities.
No setup fee and no long-term contract. You can leave with 60 days' notice, or right away if we miss our service levels two months in a row.
The payments that actually reach your practice for claims we bill, after refunds and payer takebacks. You never pay on charges that go uncollected.
An in-house biller costs salary, benefits, software and clearinghouse fees every month, whatever you collect. Use the calculator above to compare both for your practice.
Yes on Enterprise. On Solo and Group, credentialing and payer enrollment are quoted per provider, per payer before work begins.
No. We work inside your current system, including DrChrono and eClinicalWorks, so there is no migration.
IOP/PHP, residential, detox, MAT and ABA programs are priced on the Enterprise plan, because authorization tracking and UB-04 billing take more work per claim.
Most practices are fully onboarded within 2–3 weeks of signing. We keep your current claims moving during the switch.
Get your rate
in writing
We review your AR, denials and payer mix, then send your findings and exact rate within 5 business days. No cost, no obligation.
- 4–5% of net collections
- No setup fee, 60-day exit
- BAA signed before we see any data
Prefer to talk? Call (631) 652-3106
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